Most chiropractors think they’re saving money by paying their CA less.
They’re not.
They’re often just paying for turnover instead.
In this episode of the Built to Scale Podcast, Dr. Allen Miner and Dr. Mark Mouw break down what a good Chiropractic Assistant actually costs—and why underpaying your team can become one of the most expensive decisions you make as a clinic owner.
The CA market has changed.
The days of finding experienced, high-performing CAs for 8–15/hour are gone. Today, quality CAs are often commanding 23–26/hour, while someone around $20/hour may still require significant training and development.
And here’s the part many clinic owners miss:
The cheapest employee isn’t always the least expensive.
If you hire someone who can’t perform, constantly retrain new people, lose productivity, and repeat the hiring process every few months, that “cheap” hire can cost your practice far more than an A-player ever would.
In this episode, we discuss:
✅ What good CAs actually cost in today’s market
✅ Why paying 16–18/hour can make hiring quality talent difficult
✅ How underpaying contributes to unnecessary turnover
✅ Why your best employees may leave for just $2 more per hour
✅ How regular raises, reviews, and KPI-based bonuses can improve retention
✅ Why high-revenue practices tend to invest heavily in their teams
✅ The difference between hiring cheaply and hiring strategically
✅ How Chiro Matchmakers helps doctors avoid sorting through 75–100 resumes
✅ Why the right CA can become an investment—not just another expense
One of the biggest takeaways:
Stop treating your CA like a low-cost employee.
Your team directly impacts your patient experience, your operations, your capacity, and ultimately your revenue.
Paying more for the right person, developing them, and keeping them long-term can be far cheaper than constantly replacing people who weren’t the right fit in the first place.
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